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分析大柴胡汤加减在临床治疗胆囊炎中的临床成效 被引量:1

Analysis of Clinical Effect of Dachaihu Decoction in Clinical Treatment of Cholecystitis
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摘要 目的研究临床上治疗胆囊炎时使用大柴胡汤加减的疗效。方法选取在2016年1月至2019月1月期间在我院治疗的胆囊炎患者68例,其中男性41例,女性27例,患者的年龄在43-76岁,将所有患者随机分为观察组和对照组,每组各34例,观察组34例患者中,男性19例,女性15例,平均(52.4±4.8)岁;对照组34例患者中,男性22例,女性12例,平均(52.8±4.3)岁。在对照组中采用常规治疗即控制饮食,抗菌消炎、解痉止痛、退热、补充维生素,纠正患者的酸碱失衡和电解质紊乱,观察组在对照组的基础上添加大柴胡汤治疗,并根据患者的病情酌情加减。治疗结束后比较两组的治疗效果和不良反应发生率。结果观察组患者总有效患者32例,总有效率达94.18%,对照组患者中有效患者为27例,总有效率79.41%,观察组患者总有效率明显优于对照组,二者之间具有显著的差异,且P<0.05,差异具有统计学意义;对两组患者治疗后症状缓解的时间比较发现观察组各项症状缓解的时间短于对照组的时间,二者之间具有较大差异,差异具有统计学意义(P<0.05);两组均未出现不良反应。结论使用大柴胡汤加减治疗胆囊炎在临床实际应用中具有良好的效果,与常规治疗相比可以更快的减轻患者的痛苦,有更高的有效率。值得在临床实践中推广和应用。 Objective To study the clinical effect of Dachaihu decoction in the treatment of cholecystitis.Methods 68 patients with cholecystitis treated in our hospital from January 2016 to January 2019,including 41 male patients and 27 female patients,were randomly divided into observation group and control group,34 cases in each group.Among the 34 patients in the observation group,19 cases were male,15 were female,and the average age was(52.4±4.8)years;in the 34 cases of the control group,22 were male and 12 in female,and the average age of the patients was(52.8±4.3)years.in that control group,conventional treatment i.e.,a control drink,Food,antibacterial and anti-inflammatory,antispasmodic,antipyretic,vitamin supplementation,to correct the acid-base imbalance and electrolyte disorders of patients,the observation group on the basis of the control group added Da Chaihu decoction treatment,and according to the patient’s condition as appropriate to add or subtract.After the end of treatment,the treatment effect and the incidence of adverse reactions were compared between the two groups.Results There were 32 patients in the observation group,the total effective rate was 94.18%,27 patients in the control group,the total effective rate was 79.41%.The total effective rate in the observation group was significantly better than that in the control group,and there was significant difference between the two groups(P<0.05).After treatment,the time of symptom remission in the observation group was shorter than that in the control group,and there was significant difference between the two groups(P<0.05),and there was no adverse reaction between the two groups.Conclusion Dacaihu decoction has a good effect in the clinical application of cholecystitis.Compared with routine treatment,it can reduce the pain of patients more quickly and has a higher effective rate.It is worth popularizing and applying in clinical practice.
作者 黎家明 LI Jia-ming(Luoding traditional Chinese Medicine Hospital,Luoding,Guangdong 527200)
机构地区 罗定市中医院
出处 《智慧健康》 2020年第5期72-74,共3页 Smart Healthcare
关键词 大柴胡汤 胆囊炎 临床实践 治疗效果 Dacaihu decoction Gallbladder Clinical practice Therapeutic effect
作者简介 黎家明(1975-),男,汉族,中医外科副主任医师,本科,单位资质:三甲,科室:外一科;研究方向:主要从事普通外科工作。
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